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Individual

JAI P. SINGH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
35 ALBANY RD, SUITE C, CARBONDALE, IL 62903-7605
(618) 457-5111
(618) 457-6560
Mailing address
201 S 14TH ST, HERRIN, IL 62948-3631
(618) 549-0721
(618) 351-4919

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
036085146
IL
207L00000X
Anesthesiology Physician
ME92716
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
009992645
AL
01
03401
BLUECROSS & BLUESHIELD
FL
01
036085146
IL BLUE CROSS/BLUE SHIELD
IL
05
036085146
IL
05
272427800
FL
01
59178178
BLUECROSS & BLUESHIELD
AL
01
N135
HEALTH FIRST NETWORK
FL
Enumeration date
08/11/2005
Last updated
10/04/2019
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